Matzen, Jane Louise
Matzen, Jane Louise is an individual health care provider with primary practice located at 317 Vanness Ave , Ottumwa IA 52501-1434. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Matzen, Jane Louise can be contacted via phone (641) 682-8145.Contact Information
Primary practice address
317 Vanness Ave
Ottumwa IA 52501-1434
Phone: (641) 682-8145
Fax: (641) 682-8857
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | C053429 | Iowa |
Profile Details
| NPI number | 1366438681 |
|---|---|
| LBN Legal business name | Matzen, Jane Louise |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Dec 12th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366438681 | NPPES |
| Iowa | Other | 20689 | WELLMARK BCBS |
| Iowa | MEDICAID | 0425165 | WELLMARK BCBS |
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